Active NPI
Mark Agpoon, CRNA
- Certified Registered Nurse Anesthetist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 55429
- Practice address
- 3314 N 124TH St W
Wichita, KS 67223-6909 - Phone
- (316) 722-8049
- Fax
- (316) 722-8049
- NPI assigned
- Jan 19, 2006
- Last updated
- Aug 24, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 55429 | KS | Primary |
Addresses
Primary practice location
3314 N 124TH St W
Wichita, KS 67223-6909
Mailing address
3314 N 124TH St W
Wichita, KS 67223-6909
Phone (316) 722-8049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200331110G | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 623-5096
3001 Ave a
Dodge City, KS 67801-2270
Phone (850) 985-9180
401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2222
600 Medical Ctr Dr
Newton, KS 67114-8780
Phone (850) 985-9180
629 S Plummer Ave
Chanute, KS 66720-1928
Phone (850) 985-9180
Hospital & facility affiliations
- NMC Health
- Hays Medical Center
- St. Catherine Hospital - Garden City
- Neosho Memorial Regional Medical Center
- Centura St. Catherine-Dodge City
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.72 of 100
- Quality
- 68.82
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 40.05 of 100
- Quality
- 47.12
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55429 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hays Medical Center, Inc | Current | Accepting new patients | |
| Hays Medical Center, Inc | Current | Accepting new patients | |
| Kansas Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pawnee Valley Community Hospital, Inc. | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Colleagues KS PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pawnee Valley Community Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hutchinson Regional Medical Center, Inc. | Current | Accepting new patients | |
| Newton Anesthesia Services PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mid-Continent Anesthesiology Chartered | Current | Accepting new patients | |
| Kansas Spine Anesthesia Corporation PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hays Medical Center, Inc. | Current | Accepting new patients | |
| Hutchinson Regional Medical Center, Inc. | Current | Accepting new patients | |
| US Anesthesia Partners of Kansas PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hutchinson Regional Medical Center, Inc. | Current | Accepting new patients | |
| Anesthesia Consulting Services, PA | Past | Accepting new patients | |
| Hays Medical Center, Inc. | Past | Accepting new patients |
Locations
1124 W 21st St
#100
Andover, KS 67002
Phone (316) 440-3200
629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000
401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222
2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000
1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117
1708 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 663-7187
1818 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 662-6000
923 Carroll Ave
Larned, KS 67550
Phone (620) 285-3161
600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700
200 Commodore St
Pratt, KS 67124
Phone (620) 672-6476
6001 SW 6th Ave
Ste 100
Topeka, KS 66615
Phone (785) 272-8807
2818 N Greenwich Rd
Wichita, KS 67226
Phone (316) 685-2207
3121 N Webb Rd
Ste 100
Wichita, KS 67226
3223 N Webb Rd
Ste 5
Wichita, KS 67226
Phone (316) 462-5000
3333 N Webb Rd
Wichita, KS 67226
Phone (316) 462-5000
3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426
4013 N Ridge Rd
Ste 100
Wichita, KS 67205
Phone (316) 722-8015
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
7550 W Village Cir
Ste B
Wichita, KS 67205
Phone (316) 838-8388
8080 E Central Ave
Ste 250
Wichita, KS 67206
Phone (316) 686-1564
9300 E 29th St N
Ste 100
Wichita, KS 67226
Phone (316) 634-0404
Interoperability endpoints
- magpoon128726@stormontvaildirect.org
Organizations & group practices 19
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Chanute, KS
- NPI 1548813967
Nurse Anesthetist, Certified Registered
-
dba Hays Medical Group - DeBakey Heart Institute
- Interventional Cardiology Physician
- Hays, KS
- NPI 1770618258
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1811415599
KS, Nurse Anesthetist, Certified Registered
-
- Hospitalist Physician
- Hutchinson, KS
- NPI 1972605285
-
- Certified Registered Nurse Anesthetist
- Andover, KS
- NPI 1346977295
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Wichita, KS
- NPI 1720345911
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1699750273
-
- Specialist
- Larned, KS
- NPI 1467569442
-
- Critical Access Hospital
- Larned, KS
- NPI 1568401206
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
KS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Topeka, KS
- NPI 1518933837
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1407848450
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Catherine Hospital - Garden City
- General Acute Care Hospital
- Garden City, KS
- NPI 1659360196
-
dba St. Catherine Hospital - Dodge City
- General Acute Care Hospital
- Dodge City, KS
- NPI 1689317190
-
- General Acute Care Hospital
- Hays, KS
- NPI 1881697043
-
dba NMRMC Women's Health Center
- Medical Specialty Clinic/Center
- Chanute, KS
- NPI 1023251469
Hospital
-
- Critical Access Hospital
- Chanute, KS
- NPI 1073566949
-
dba NMRMC Orthopedic Clinic
- Orthopaedic Surgery Physician
- Chanute, KS
- NPI 1619261211
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1023098548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3314 N 124TH ST W",
"city": "WICHITA",
"state": "KS",
"postal_code": "672236909",
"telephone_number": "316-722-8049",
"fax_number": "316-722-8049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3314 N 124TH ST W",
"city": "WICHITA",
"state": "KS",
"postal_code": "672236909",
"telephone_number": "316-722-8049",
"fax_number": "316-722-8049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGPOON",
"first_name": "MARK",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "55429",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200331110G",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.